Senior Cardiac Physiologist

King’s College Hospital NHS Foundation Trust is one of the UK’s largest and busiest teaching Trusts with a turnover of c£2.1 billion, 1.5 million patient contacts per year and more than 14,000 staff based across five main sites in South East London. The Trust provides a full range of local hospital services and specialist services from its South East London sites. We encourage all staff to have a healthy work/life balance. Flexible working is available from the start of employment and is designed to suit different circumstances and priorities in line with service requirements.

The post holder will work as an independent, specialist cardiac physiologist, delivering high‑quality, patient‑centred services across a wide range of non‑invasive and invasive cardiac diagnostic investigations. They will be responsible for the performance, analysis, and reporting of complex diagnostic tests, ensuring safe, accurate, and timely patient care. The role will be primarily based within Cardiac Suite 6 and the Cardiac Catheter Laboratories, with flexible working required to meet service demands. A collaborative, cross‑functional team approach is essential for efficient service delivery. This position offers an excellent opportunity to develop specialist expertise in Cardiopulmonary Exercise Testing (CPET), interventional and structural cardiology, and complex cardiac rhythm management (CRM), with ongoing professional development support.

Main duties of the job include providing a high‑quality cardiac physiology service across a wide range of investigations, including ambulatory monitoring, exercise testing, CPET, and head‑up tilt testing, with responsibility for accurate analysis and reporting. The post holder will support complex cardiac catheter laboratory activity, including diagnostic, interventional, and structural procedures, and participate in the primary angioplasty on‑call rota and emergency arrhythmia pathway. The role includes specialist support for cardiac rhythm management services, including device implantation, follow‑up, and optimisation (pacemakers, ICDs, CRT), alongside contribution to remote monitoring services.

The post holder will manage and prioritise clinical workload, support inpatient triage, and ensure high standards of documentation, patient safety, and clinical governance. They will work collaboratively within a multidisciplinary team and contribute to service development, quality improvement, and resource management. In addition, the role includes supervision, teaching, and support of junior staff and students, alongside a commitment to continuous professional development, audit, and clinical excellence.

Technical and Service Delivery responsibilities include delivering a high‑quality, patient‑centred cardiac physiology service across a broad range of non‑invasive and invasive diagnostic modalities, demonstrating advanced clinical competence, sound judgement, and professional accountability. The post holder will perform, analyse, and report ambulatory ECG monitoring, including event recorders, alongside resting and ambulatory blood pressure studies, ensuring accurate interpretation and timely reporting in line with departmental and national standards.

They will supervise and support advanced diagnostic investigations, including ETT, CPET, and HUTT, taking responsibility for accurate analysis and reporting of findings in accordance with local and national guidelines. In the cardiac catheterisation laboratory, they will support and document haemodynamic monitoring and procedural activity across diagnostic, interventional and structural procedures (PCI, IVUS, OCT, shockwave therapy, rotablation, IABP, Impella, TAVI, MitraClip/TEER, LAAO and PFO closure). The post holder will ensure precise procedural recording and contribute to maintaining high standards of patient safety and clinical governance.

Educational and Supervisory responsibilities include actively engaging in the Band 6 staff development programme, demonstrating a commitment to continuous professional growth and the development of advanced clinical and leadership skills. The post holder will provide specialist technical and clinical advice to colleagues, junior staff and students, promoting best practice while recognising the boundaries of the role and appropriately escalating complex issues when required.

Person specification includes either BSc in Cardiac Physiology or equivalent, BSc in Healthcare Science (PTP) – Clinical Cardiac Physiology, or MSc in Healthcare Science (STP) – Clinical Cardiac Physiology. Immediate Life Support (ILS) certification is required, along with AHCS STP / RCCP registration or working towards STP equivalence. Post‑graduate qualifications such as BHRS, IBHRE, POETTS, ARTP are preferred.

Knowledge and Experience required includes experience of performing and reporting physiologist‑led exercise tests, proficiency in ECG analysis and interpretation, and a high level of knowledge of cardiac pathologies, arrhythmias, acute coronary syndromes and causes of syncope. The candidate should have the ability to work as part of a team and possess experience, skills and knowledge in complex interventional and structural procedures.

Skills and competencies include the ability to adapt and respond positively to unexpected issues, utilise research in clinical practice, and demonstrate good organisational and time‑management skills.